JOSE PHARMACY AND SURIGAL SUPPLY
NPI 1356500425
Pharmacy - Community/Retail Pharmacy in New York, NY

Active since June 04, 2008
506 W 207TH ST, NEW YORK, NY 10034(212) 304-0101(212) 304-0788 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jose Pharmacy And Surigal Supply NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE PHARMACY AND SURIGAL SUPPLY (NPI 1356500425) is a healthcare organization registered as a community/retail pharmacy in New York, New York and active in the NPI registry since June 2008. The organization lists Jose Luis Susana, President, as its authorized official.

NPPES Registry Identity

NPI1356500425
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameJRA DRUG CORP
Location Address506 W 207TH STNew York, NY 10034-2609
Mailing Address506 W 207th StNew York, NY 10034-2609 · (212) 304-0101 · Fax (212) 304-0788
Fax(212) 304-0788
Organization SubpartNo
Authorized OfficialJose Luis SusanaPresident · (212) 304-0101
Enumeration DateJune 4, 2008
Last NPPES UpdateJanuary 8, 2020
NPI 1356500425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in NY · 028965
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacyTaxonomy 333600000X · License 042575 (NY)
506 W 207TH ST, New York, NY 10034

Other Names 1

Doing Business AsJose Pharmacy And Surigal Supply

Other Identifiers 2

Other3358113Ncpdp Provider Identification Number
Medicaid2978976NY

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
506 W 207TH ST
NEW YORK, NY 10034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356500425, enumerated as an "organization" on June 04, 2008.

The provider is located at 506 W 207TH ST NEW YORK, NY 10034 and the phone number is (212) 304-0101.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.